2021 and Pericarditis - Cardiovascular Update

Fate of coronary arteries in Constrictive pericarditis

Dr. S. Venkatesan MD

AUGUST 11, 2024

Inflammatory pericarditis can occur in differential fashion. For example, the most common chronic pericarditis tuberculosis affects the fibrinous layer. Post MI pericarditis involves the epicardium. Diastolic Coronary Artery Compression in Constrictive Pericarditis. Angina caused by calcific constrictive pericarditis.

Pericarditis

Pericarditis Anatomy Angina Heart Disease

Chest pain: Are these really "Nonspecific ST-T wave abnormalities", as the cardiologist interpretation states?

Dr. Smith's ECG Blog

MAY 27, 2024

Curr Cardiol Red 2021 3. ST depression in lead AVL differentiates inferior ST-elevation myocardial infarction from pericarditis. J Am Heart Assoc 2021 6. IJC Heart and Vasc 2021 8. Systematic review and meta-analysis of diagnostic test accuracy of ST-segment elevation for acute coronary occlusion. Int J Cardiol 2024 2.

Chest Pain

Chest Pain STEMI Myocardial Infarction Ischemia

Cardiology update: Should mRNA vaccine myocarditis be a contraindication to future COVID-19 vaccinations ?

Dr. Anish Koka

JANUARY 1, 2023

The case reports Case 1 involves a 26 year old man who developed pericarditis after the Pfizer vaccine. Pericarditis, an inflammation of the sac the heart lives in, developed about 7 days after the Pfizer vaccine. The diagnosis was made based on classic findings of inflammation on an electrocardiogram associated with acute chest pain.

COVID-19

COVID-19 Pericarditis Chest Pain Biomarkers

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

MORE WEBINARS

Prevalence of Pericardial Late Gadolinium Enhancement in Patients After Cardiac Surgery: Clinical and Histological Correlations

Circulation: Cardiovascular Imaging

NOVEMBER 20, 2023

BACKGROUND:Pericardial late gadolinium enhancement (LGE) is usually associated with active pericarditis, but it is not infrequently found in patients after cardiac surgery even a long time after the intervention. All patients were asymptomatic, and no specific treatment for pericarditis was started.

Pericarditis

Pericarditis Cardiovascular Imaging Circulation

7 Things You Can Do To Reduce Your Risk Even If You Already Have Heart Disease.

Dr. Paddy Barrett

APRIL 5, 2024

Traditionally used as an anti-inflammatory for pericarditis (inflammation of the lining of the heart), it has recently been shown to result in fewer major heart events in those with a recent heart attack. 2021 Oct 19;10(20):e021356. 2021 May 1;397(10285):1625-1636. It is an easy win, frequently missed. J Am Heart Assoc.

Heart Disease

Heart Disease Coronary Artery Disease Heart attacks Heart Attack

Biosense Webster Submits Application to U.S. FDA Seeking Approval of the VARIPULSE Platform for the Treatment of Paroxysmal Atrial Fibrillation

DAIC

MARCH 28, 2024

Primary adverse events were defined as myocardial infarction, thromboembolism, transient ischemic attack, diaphragmatic paralysis, pneumothorax, heart block, pulmonary edema, vagal nerve injury, pericarditis, major vascular access complication or bleeding, death, stroke, or any other cerebrovascular accident. 2021 Feb;16(2):217-221.

Atrial Fibrillation

Atrial Fibrillation AFIB Ablation Pulmonary

A 20-something with intermittent then acute chest pain

Dr. Smith's ECG Blog

APRIL 25, 2023

First, many on Twitter said "Pericarditis". This is NOT pericarditis, which virtually NEVER has ST depression any where except aVR. See our publication: ST depression in lead aVL differentiates inferior ST-elevation myocardial infarction from pericarditis There is STE in inferior leads, high lateral leads, and V4-V6.

Chest Pain

Chest Pain Pericarditis Blog Cardiomyopathy

Vaccine myocarditis update from Korea

Dr. Anish Koka

JUNE 5, 2023

It was Israeli researchers that first highlighted the novel mRNA vaccines as potentially causing myocarditis in the Spring of 2021, but it has proven difficult to quantify the risk of severe complications beyond scattered case reports of severe morbidity and mortality. Subscribe for free to receive new posts and support my work.

COVID-19

COVID-19 Sudden Cardiac Death Public Health Pericarditis

Sometimes even ST Elevation meeting criteria is not enough to be convincing

Dr. Smith's ECG Blog

NOVEMBER 13, 2022

This is a bad ST vector orientation, because it causes widespread STE and one of the most important mistakes that needs to be avoided here is thinking of the diagnosis of pericarditis. Such an out-of-proportion STE is virtually never seen in pericarditis. 2021 Sep;49(6):488-500. Look at the STE in lead II, aVF. 2021.21026.

Chest Pain

Chest Pain Myocardial Infarction Blog Pericarditis

A COVID19 vaccine exemption letter

Dr. Anish Koka

FEBRUARY 20, 2023

In August, the CDC reported 29 cases of pericarditis, including five in persons with a history of pericarditis after mRNA COVID-19 vaccine ; 10 Importantly, the Novovax vaccine is a protein based vaccine that was hoped to not be associated with myocarditis as was noted with the mRNA vaccines.

COVID-19

COVID-19 Pericarditis Chest Pain Public Health

Two patients with chest pain, with QRS obscured: which was STEMI positive, and which had Occlusion MI?

Dr. Smith's ECG Blog

JANUARY 17, 2024

The initial computer and final cardiology interpretation was a differential: “ST elevation, consider early repolarization, pericarditis, or injury.” IJC Heart and Vasc 2021 5. But STEMI criteria ignore all this and look at ST segments in isolation. Ann Emerg Med 2023 4. Meyers, Bracey et al. Herman, Meyers, Smith et al.

Chest Pain

Chest Pain STEMI Myocardial Infarction Blog

OMI in a pediatric patient? Teenagers do get acute coronary occlusion, so don't automatically dismiss the idea.

Dr. Smith's ECG Blog

DECEMBER 5, 2023

Though less prevalent in younger patients, occlusion MI may occur and requires the same early interventions as older patients. - - Pericarditis and myocarditis should be a diagnosis of exclusion. 2021 Aug 10;144(6):e123-e135. Epub 2021 Jul 7. 2021 Aug 10;144(6):e149. 2021 Apr 18;13(4):700. 2021 Aug;17(4):335-340.

Pediatrics

Pediatrics Pericarditis COVID-19 Congenital Heart Disease

The impact of COVID-19 vaccination on patients with congenital heart disease in England: a case-control study

Heart BMJ

NOVEMBER 19, 2024

The ‘post-vaccination’ cohort comprised vaccinated patients with CHD and matched controls with first-recorded SARS-CoV-2 infection between 1 March 2021 and 1 April 2022, at least 14 days after vaccination (57 550 cases, 225 160 controls). Odds of severe COVID-19 outcomes were compared using conditional logistic regression.

COVID-19

COVID-19 Congenital Heart Disease Congenital Heart Disease

Fate of coronary arteries in Constrictive pericarditis

Chest pain: Are these really "Nonspecific ST-T wave abnormalities", as the cardiologist interpretation states?

Cardiology update: Should mRNA vaccine myocarditis be a contraindication to future COVID-19 vaccinations ?

Webinars

Prevalence of Pericardial Late Gadolinium Enhancement in Patients After Cardiac Surgery: Clinical and Histological Correlations

7 Things You Can Do To Reduce Your Risk Even If You Already Have Heart Disease.

Biosense Webster Submits Application to U.S. FDA Seeking Approval of the VARIPULSE Platform for the Treatment of Paroxysmal Atrial Fibrillation

A 20-something with intermittent then acute chest pain

Vaccine myocarditis update from Korea

Sometimes even ST Elevation meeting criteria is not enough to be convincing

A COVID19 vaccine exemption letter

Two patients with chest pain, with QRS obscured: which was STEMI positive, and which had Occlusion MI?

OMI in a pediatric patient? Teenagers do get acute coronary occlusion, so don't automatically dismiss the idea.

The impact of COVID-19 vaccination on patients with congenital heart disease in England: a case-control study

Stay Connected